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Forearm Replantation for a Patient Presented with Major Amputation Injury: A Case Report

  • Jang, Jihoon (Department of Surgery, Kyungpook National University Hospital) ;
  • Lim, Kyoung Hoon (Department of Surgery, Kyungpook National University Hospital) ;
  • Kim, Joon-Woo (Department of Orthopedic Surgery, Kyungpook National University Hospital) ;
  • Kim, Hyung-Kee (Department of Surgery, Kyungpook National University Hospital)
  • 투고 : 2016.12.02
  • 심사 : 2016.12.30
  • 발행 : 2016.12.31

초록

With the development of safety measures for employees who work with dangerous machinery, the frequency of amputation injuries has been decreasing with resultant decrease in replantation procedures. However, in some patients with major amputation injury, replantation is still necessary for the preservation of limb and it's function. The replantation of the upper extremity (UE) is a complex and technically demanding surgical procedure. For the successful replantation of UE, the type of injury, reconstruction sequence, ischemic time, and other combined injury of patient should be considered. We report a case of major amputation of UE by guillotine-type injury and discuss the treatment process of this patient.

키워드

참고문헌

  1. Malt RA, McKhann C. Replantation of Seved Arms. JAMA 1964; 189: 716-22.
  2. Leclere FM, Mathys L, Juon B, Franz T, Unglaub F, Vogelin E. Macroreplantations of the upper extremity: a series of 11 patients. Arch Orthop Trauma Surg 2012; 132: 1797-805. https://doi.org/10.1007/s00402-012-1590-8
  3. Meyer VE. Upper extremity replantation: a review. Eur Surg 2003; 35: 167-73.
  4. Kim HK, Cho J, Huh S, Oh CW, Chung HY, Roh YN, et al. Upper Extremity Replantation for Patients with Major Amputation Injury: Follow-up Results of 11 Patients. Korean J Vasc Endovasc Surg 2013; 20: 10-6.
  5. Ipsen T, Lundkvist L, Barfred T, Pless J. Principles of evaluation and results in microsurgical treatment of major limb amputations. A follow-up study of 26 consecutive cases 1978-1987. Scand J Plast Reconstr Surg Hand Surg 1990; 24: 75-80. https://doi.org/10.3109/02844319009004524
  6. Goldner RD, Nunley JA. Replantation proximal to the wrist. Hand Clin 1992; 8: 413-25.